Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,932.22 / $7,920.26 / $20,400.00	Facility		$1,932.22	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.37 / $1,357.84 / $3,074.34	Professional		$880.37	$1,357.84	$3,074.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.80 / $1,866.29 / $2,874.66	Professional		$1,154.80	$1,866.29	$2,874.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,808.94 / $2,118.86 / $2,542.03	Professional		$1,808.94	$2,118.86	$2,542.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,314.97 / $1,763.28 / $2,349.40	Facility		$1,314.97	$1,763.28	$2,349.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,535.00 / $1,716.00 / $2,586.87	Professional		$1,535.00	$1,716.00	$2,586.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,351.27 / $1,849.87 / $1,969.13	Facility		$1,351.27	$1,849.87	$1,969.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,329.17 / $1,924.37 / $3,397.00	Facility		$1,329.17	$1,924.37	$3,397.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,684.38 / $1,969.03 / $2,698.88	Professional		$1,684.38	$1,969.03	$2,698.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,794.05 / $2,293.89 / $3,083.01	Professional		$1,794.05	$2,293.89	$3,083.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.38 / $1,913.53 / $3,022.75	Professional		$1,289.38	$1,913.53	$3,022.75